Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015, 159(4):688-694 | DOI: 10.5507/bp.2015.047

Acute pancreatitis as the first manifestation of duodenal MALT lymphoma

Ivona Simkovaa, Karel Urbanekb, Vlastimil Prochazkaa, Michal Konecnya, Jan Gregara, Marie Geierovac, Vit Prochazkad, Eva Buriankovae
a Department of Internal Medicine II - Gastroenterology and Hepatology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Czech Republic
b Department of Pharmacology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc
c Department of Clinical and Molecular Pathology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc
d Department of Hemato-Oncology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc
e Department of Nuclear Medicine, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc

Background: Possibly any tumor that can cause mechanical obstruction of the distal bile duct can induce acute pancreatitis. However, acute pancreatitis as the first clinical manifestation of duodenal lymphoma is extremely rare.

Objective: To report the case of a patient with acute pancreatitis as an extremely rare first manifestation of duodenal MALT lymphoma and possible association with erythema nodosum.

Methods: Case report of a 66-year-old woman who was diagnosed with acute pancreatitis caused by infiltration with duodenal lymphoma.

Results: Acute pancreatitis was confirmed by CT imaging. Detailed investigation revealed a duodenal mass causing pancreatic injury. Histological analysis established the diagnosis of MALT lymphoma. The patient's medical history also included erythema nodosum. Complete remission of the malignancy was achieved with chemotherapy.

Conclusion: This is the first published case report of acute pancreatitis caused by the growth of duodenal MALT lymphoma. An association with erythema nodosum is possible.

Keywords: erythema nodosum, extranodal marginal zone lymphoma, pancreatic inflammation

Received: March 29, 2015; Accepted: September 10, 2015; Prepublished online: October 22, 2015; Published: December 3, 2015  Show citation

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Simkova, I., Urbanek, K., Prochazka, V., Konecny, M., Gregar, J., Geierova, M., Prochazka, V., & Buriankova, E. (2015). Acute pancreatitis as the first manifestation of duodenal MALT lymphoma. Biomedical papers, 159(4), 688-694. doi: 10.5507/bp.2015.047

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Letter to the Editor. Re: “Acute pancreatitis as the first manifestation of duodenal MALT lymphoma” by Ivona Simkova et al. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2015;159(4):688-94. doi: 10.5507/bp.2015.047

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